,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #cjfg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ag1          
#bjai,mrs4 ,capito 7= h]self1 ,mr4      
,jones1 ,ms4 ,ern/1 ,mrs4 ,%ahe51 & ,mr4
 ,man*97 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
combat ! opioid crisis by promot+ access
 to non-opioid treatm5ts 9 ! hospital   
outpati5t sett+4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,non-,opioids      
,prev5t ,addiction ,9 ! ,nation ,act or 
! ,,nopa9 ,act4  #b4 ,access to         
non-opioid treatm5ts = pa9  7a7 ,9 g5]al
 ,section #ahcc7t7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciel7t77 is      
am5d$--  7#a7 9 p>agraph 7#b77;,e71 by  
ins]t+ & sep>ate paym5ts = non-opioid   
treatm5ts "u p>agraph 7#af77;,g71 aft]  
paym5ts "u p>agraph 7#f72 &  7#b7 9     
p>agraph 7#af71 by add+ at ! end !      
foll[+ new subp>agraph3  7,g7 ,access to
 non-opioid treatm5ts = pa9  7i7 ,9     

g5]al ,not)/&+ any o!r provision ( ?is  
subsection1 ) respect to a cov]$ ,,opd  
s]vice 7or gr\p ( s]vices7 furni%$ on or
 aft] ,janu>y #a1 #bjbj1 & be=e ,janu>y 
#a1 #bjbe1 ! ,secret>y %all n package1 &
 %all make a sep>ate paym5t z specifi$ 9
 clause 7ii7 =1 a non-opioid treatm5t 7z
 def9$ 9 clause 7iii77 furni%$ z "p (   
su* s]vice 7or gr\p ( s]vices74  7ii7   
,am\nt ( paym5t ,! am\nt ( ! paym5t     
specifi$ 9 ?is clause is1 ) respect to a
 non-opioid treatm5t t is--  7,i7 a drug
 or biological product1 ! am\nt ( paym5t
 = su* drug or biological det]m9$ "u    
section #ahdg;,a2 or  7,,ii7 a m$ical   
device1 ! am\nt ( ! hospital's *>ges = !
 device1 adju/$ to co/4  7iii7          
,def9ition ( non-opioid treatm5t ,a     
non-opioid treatm5t means--  7,i7 a drug
 or biological product t is indicat$ to 
produce analgesia )\t act+ ^u ! body's  
opioid receptors2 or  7,,ii7 an         
implantable1 reusable1 or disposable    
m$ical device cle>$ or approv$ by !     
,adm9i/rator = ,food & ,drugs = ! int5d$

 use ( manag+ or treat+ pa91  t has     
demon/rat$ ! ability to replace or r$uce
 opioid consumption 9 a cl9ical trial or
 ?r\gh cl9ical data publi%$ 9 a         
pe]-review$ j\rnal4  4  7b7 ,ambulatory 
surgical c5t] paym5t sy/em ,section     
#ahcc7;i77#b77;,d7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciel7i77#b77;,d77
 is am5d$-- 7#a7 by align+ ! m>g9s (    
clause 7v7 ) ! m>g9s ( clause 7iv72     
7#b7 by r$esignat+ clause 7vi7 z clause 
7vii72 &  7#c7 by ins]t+ aft] clause 7v7
 ! foll[+ new clause3  7vi7 ,9 ! case ( 
surgical s]vices furni%$ on or aft]     
,janu>y #a1 #bjbj1 & be=e ,janu>y #a1   
#bjbe1 ! paym5t sy/em describ$ 9 clause 
7i7 %all provide = a sep>ate paym5t = a 
non-opioid treatm5t 7z def9$ 9 clause   
7iii7 ( subsection 7t77#af77;,g77       
furni%$ z "p ( su* s]vices 9 ! am\nt    
specifi$ 9 clause 7ii7 ( su* subsection4
  4  7c7 ,evaluation ( !rapeutic s]vices
 = pa9 managem5t  7#a7 ,report to       
,congress ,n lat] ?an #a ye> aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y ( 

,heal? & ,human ,s]vices 79 ?is         
subsection ref]r$ to z ! ,secret>y71    
act+ ?r\gh ! ,adm9i/rator ( ! ,c5t]s =  
,m$ic>e  ,m$icaid ,s]vices1 %all submit 
to ,congress a report id5tify+--  7,a7  
limitations1 gaps1 b>ri]s to access1 or 
deficits 9 ,m$ic>e cov]age or           
reimbursem5t = re/orative !rapies1      
behavioral approa*es1 & complem5t>y &   
integrative heal? s]vices t are id5tifi$
 9 ! ,pa9 ,managem5t ,be/ ,practices    
,int]-,ag5cy ,task ,=ce ,report & t h   
demon/rat$ ! ability to replace or r$uce
 opioid consumption2 &  7,b7            
recomm5dations to address ! limitations1
 gaps1 b>ri]s to access1 or deficits    
id5tifi$ "u subp>agraph 7,a7 to improve 
,m$ic>e cov]age & reimbursem5t = su*    
!rapies1 approa*es1 & s]vices4  7#b7    
,public consultation ,9 develop+ !      
report describ$ 9 p>agraph 7#a71 !      
,secret>y %all consult ) relevant       
/akehold]s z det]m9$ appropriate by !   
,secret>y4  7#c7 ,exclusive treatm5t    
,any drug1 biological product1 or m$ical

 device t is a non-opioid treatm5t 7z   
def9$ 9 section #ahcc7t77#af77;,g77iii7 
( ! ,social ,security ,act1 z add$ by   
subsection 7a77 %all n be consid]$ a    
!rapeutic s]vice = ! purpose ( ! report 
describ$ 9 p>agraph 7#a74